Routes
Medication
Administration
Who can write patient orders
Processing & Acknowledging Orders
Six Rights of Medication Administration
100

Most common route for medication administration 

Oral or PO

100

Primary with full prescribing authority

Physicians (MD’s and DO’s)

100

Verify completeness and ensure the order includes all necessary components.

Review the order.

100

The person you are giving the medication to.

Right patient.

200

Injected into the fatty tissue under the skin

Subcutaneous 

200

Advanced practice with authority to prescribe medication which varies state by state and may require physician collaboration

Nurse practitioner 

200

Cross check the order with the patient’s current medication, EHR, and medical history.

Compare the order.

200

What you are administrating to the patient.

Right medication.

300

Applied to the eyes 

Ophthalmic

300

Can prescribe under supervising physician oversight with specific limits based on state laws 

Physician assistant 

300

Enter order into patient’s MAR (or EHR) and double check the transcription for accuracy; especially for med dose, route, and time.

Transcribe the order.

300

The amount of medication you are administrating to the patient.

Right dose.

400

Delivered through patches on the skin for systemic effects

Transdermal

400

Can prescribe medications related to oral health

Dentist 

400

Document your acknowledgment in the EHR (or patient chart).

Acknowledge the order.

400

Location of medication administration.

Right route.

500

Into the bone marrow/often used in emergencies 

Intraosseous

500

Have limited prescribing authority for medications related to ophthalmic

Optometrist 

500

Check medication compatibility and verify order with pharmacy staff.

Confirm safety.

500

When to administer the medication and how to verify and confirm what you administered is correct.

Right time and Right documentation.